Basic Information
| Provider Information | |||||||||
| NPI: | 1952621344 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CAPUA-CURRIE | ||||||||
| FirstName: | ZENAIDA | ||||||||
| MiddleName: | LOPEZ | ||||||||
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| Credential: | PHARM.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 231 E ALESSANDRO BLVD # A-294 | ||||||||
| Address2: | |||||||||
| City: | RIVERSIDE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925086039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9098257084 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 11201 BENTON ST | ||||||||
| Address2: | VA LOMA LINDA 119 | ||||||||
| City: | LOMA LINDA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 923571000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9098257084 | ||||||||
| FaxNumber: | 9097773263 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2010 | ||||||||
| LastUpdateDate: | 06/16/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 38418 | CA | N | Pharmacy Service Providers | Pharmacist | 1835N1003X | 38418 | CA | N | Pharmacy Service Providers | Pharmacist | Nutrition Support | 1835P0018X | 38418 | CA | N | Pharmacy Service Providers | Pharmacist | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P1200X | 38418 | CA | Y | Pharmacy Service Providers | Pharmacist | Pharmacotherapy | 1835X0200X | 38418 | CA | N | Pharmacy Service Providers | Pharmacist | Oncology |
No ID Information.